Unknown Individual – Professional Counselor, NPI 1003879040
Professional Counselor
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
822, Hillgrove Avenue, Western Springs, Lyons Township, Cook County, Illinois, 60558, United States
WESTERN SPRINGS, IL 605581464
Phone: (708) 246-4277
Type: Location
234, South Madison Avenue, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
LA GRANGE, IL 605252342
Phone: (708) 205-6189
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60558)
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